OrganizationActive
Rehabilitation Consultants, Inc.
NPI 1710040456 · Physical Medicine & Rehabilitation Physician · Eagan, MN
Provider details
- NPI number
- 1710040456
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Elena Polukhin, Medical Director(651) 699-0633
- License
- 45600 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
880 Blue Gentian Rd
Suite 150
Eagan, MN 55121-1669
Phone: (651) 379-1600
Fax: (651) 379-1650
Street-level locationGet directions
Mailing address
3006 Frank St
Maplewood, MN 55109-5501
Registry dates
- Enumerated
- 2006-12-17
- Last updated
- 2009-06-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.